Consultant, Healthcare Economics (hybrid)

Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes.

About the role

The Healthcare Economics Consultant partners with Finance, Operations, and Clinical leadership to deliver actionable financial and operational insights. This role develops advanced analyses, forecasting models, and automated reporting solutions to support strategic decision-making, healthcare economics initiatives, and organizational performance. The consultant serves as a trusted advisor by translating complex healthcare and financial data into meaningful business recommendations. This position is hybrid in San Antonio, TX - with flexibility to come onsite any 3 days per week.

Responsibilities

• Research, retrieve, design, troubleshoot, and deliver organized analytics regarding healthcare, capitation, accounts receivable, utilization data, claims data and financial accounting data
• Serve as a subject matter expert in healthcare economics, capitation, medical claims, utilization, revenue performance, and financial data analysis
• Synthesize complex data into clear, actionable insights and recommendations for operational and executive leadership
• Analyze and extract data from the Enterprise Data Warehouse (EDW) to report to internal and external customers
• Serve as a key resource to Finance teams by providing analytical support and technical expertise
• Design, develop, test, document and database queries for ad hoc reporting used in complex conceptual analyses
• Develop systematic reporting processes and procedures to ensure timely delivery of weekly, monthly, quarterly, annual and ad hoc reporting to management
• Recommend and implement new or modified reporting methods and procedures to improve report content and completeness of information
• Analyze benchmarking data, reports, processes, and measurements for key managed care indicators to recognize trends and assist in developing forecasts and financial planning
• Collaborate with Finance, Operations, Clinical, IT, and Business Intelligence teams to identify opportunities for performance improvement and process optimization
• Develop innovative approaches to achieve deliverables and increase efficiency
• Provide informal leadership, mentoring, and technical guidance to analysts and cross-functional project teams
• Perform all other related duties as assigned

Requirements

• Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field required (4+ additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
• 5+ years of general healthcare accounting, finance, or operations experience
• 2+ years of experience in reporting and analytical role
• Understanding of the complexity of Member healthcare accounting, claims and revenue
• Proficiency in SQL and Microsoft Excel

Qualifications

• 5+ years of reporting and analytic experience
• 3+ years of experience in a managed care environment
• Experience with business intelligence and data visualization tools (Power BI, Tableau, SSRS, or similar)
• Experience working with enterprise data warehouses, large healthcare datasets, and automated reporting solutions

Benefits

In addition to your salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.